Hello. I was diagnosed nearly 4 years ago, aged 50. So far the pattern has been for my Hb to stay stable-ish for awhile, and then do a sudden big drop. I've been told that I when I need transfusions, I'll start on the drug Revlimid, and be referred to a transplant specialist. I'll be seeing the haematologist in a couple of weeks. I can't decide if it's silly or wise to have thyroidectomy early....Thank you.